Signature of the Physician
73
ANNEXURE-2
Algorithm for Ascertainment of Suspected Chikungunya case
[Developed by European Centre for Disease Prevention and Control; A mission Report
Chikungunya in Italy, Joint ECCD/WHO visit for a European risk assessment, 17-21, September
2007, Page No.22]
74
ANNEXURE-3
CHIKUNGUNYA CASE DEFINITION FOR SURVEILLANCE
[Developed by European Centre for Disease Prevention and Control; A mission Report
Chikungunya in Italy, Joint ECCD/WHO visit for a European risk assessment, 17-21,
September 2007, Page No.22]
Clinical criteria Acute onset of fever > 38.5
0
C and severe arthralgia not
explained by other medical conditions.
Epidemiological criteria Residing or having visited epidemic areas having reported
transmission within 15 days prior to the onset of symptoms.
Laboratory Criteria
At least one of the following tests in acute phase
- Virus isolation;
- Presence of Viral RNA by RT-PCR;
- Presence of Virus specific IgM antibodies in single
serum sample collected;
- Seroconversion to virus specific antibodies in
samples collected at least one to three weeks
apart.
On the basis, the following categories of cases are reported.
Possible case : A patient meeting clinical criteria
Probable case : A patient meeting both the clinical and epidemiological criteria
Confirmed cases : A patient meeting the laboratory criteria, irrespective of the clinical
presentation.
75
ANNEXURE-4
Format for Documentation of Medical Practices and Claims on Prevention
and Treatment of Vector Borne and other Communicable Diseases by
AYUSH System (s) of Medicine made by Individuals and Organizations in
Public and Private Sectors
Claimants Profile
Individuals/ Organizations Name
Complete Postal Address
Phone Number (s)
Mobile Number (s)
E Mail ID
Name of the Disease/ Condition for
prophylaxis/ treatment
Duration
Place
76
Form-1
Documentation on Medical Practices and Claims on Prevention of Vector
Borne and other Communicable Diseases by AYUSH System(s) of Medicine
made by Individuals and Organizations in Public and Private Sectors
Claims of Successes in Prevention of Epidemic Disease
{If details do not fit in the given space, please enclose separate sheet (s)}
1. Claimants Name & Address
2. Particulars of Disease
Name of disease
Place(s)
Duration
From To
3. Period during which Preventive Medicine was
distributed
From To
4. Personnel involved
(Indicate their names and qualifications)
Individual
Organization (Government/NGO)
Other Associates
5. Methodology
5.1 Preventive
5.1.1 Basis for the selection of drug(s) /
medicine(s)
5.1.2
Name (s) of drug (s) / Medicine (s)
prescribed
Single drug (s) (indicate common name
in Hindi and regional language, Botanical
/ Sanskrit / Arabic / Persian or name used
in Homoeopathy)
Compound drug (s) (indicate ingredients,
whether traditional or classical or self-
made with method of preparation)
If procured from the market, indicate the
source
Anupana / Badarqa (i.e. vehicle in case
of Ayurveda, Siddha / Unani)
Dosage and Duration of administration
Potencies (in case of Homoeopathy)
Mode of administration
77
5.1.3 Total no. of people administered
prophylaxis
5.1.4 Prophylaxis administered by whom
a) By Individual / Organization
b) Other Associates
5.1.5 Total no. of people maintained as control
5.1.6 Control maintained by whom
a) By Individual / Organization
b) Other Associates
5.1.6 Other measures adopted by:
a) Individual
b) Organization
c) Others (Give details)
5.1.7 Names/ No. of
Villages/ Locality/ Houses covered
5.1.8 Total Population covered
(with reference to 5.1.7)
6.
Follow up
6.1 Methodology Adopted
6.1.1 Followed by whom
Self
Community/ health workers/ other
agencies
6.1.2 Means of follow-up
Door to door
In the hospital
Through camps
Any other means
6.2
Duration of follow up From To
6.3
Number of cases followed by:
Individual
Organization
Other agency
7
Results
7.1
a. Number of cases that contacted/
developed disease after taking
prophylaxis
b. Number of Controls that developed
disease
7.2
Treatment taken after development of
disease
7.3
Approximate Expenditure incurred on
medicine per patient
7.4
Source of funding
8.
Any constraints / difficulties faced (including man power and financial) for
conducting/undertaking the program.
78
9.
Salient achievements of the study
10.
If you would have opportunity to work in this direction in future, how would like to proceed:
UNDERTAKING
1) I/We do hereby affirm that the above information is based on facts and is based on the work
of the undersigned.
2) I/We would have no objection if this information is documented in public interest.
Place:
Date:
Name of the Individual/ Organization
Seal
79
Form-2
Documentation on Claims of Treatment of Vector Borne and other
Communicable Diseases by AYUSH System (s) of Medicine made by
Individuals and Organizations in Public and Private Sectors
Treatment Claims of Epidemic and other Diseases
{If details do not fit in the given space, please enclose separate sheet (s)}
1. Claimants Name and address
2. Particulars of Disease/Condition Treated
Name of the disease
Place (s) of occurrence
3. Duration of treatment
From To
4. Personnel involved
(Indicate their names and qualifications)
Individual
Organization (Government/NGO)
Other Associates
5. Methodology
5.1 Therapeutic
5.1.1 Number of cases treated
5.1.2 Criteria for Diagnosis
Clinical presentations alone or Laboratory
and other Investigations OR
Both
5.1.3 Basis for selection of drug (s)/ medicine s)
5.1.3 Name of Drug (s)/Medicine (s) prescribed
Single drug(s) (indicate common name in
Hindi and regional language, Botanical /
Sanskrit / Arabic / Persian or name used in
Homoeopathy)
Compound drug (s) (indicate ingredients,
whether traditional or classical or self-
made with method of preparation)
If procured from market, indicate the
source
Anupana / Badarqa (i.e. vehicle in case of
Ayurveda, Siddha and Unani)
Dosage and Duration of administration
Potencies in case of Homoeopathy
Mode of administration
6. Follow up
6.1 Methodology adopted
6.1.1 Followed by whom
Self
Community/health workers/ other agencies
80
6.1.2 Means of follow-up
Door to door
In the hospital
Through camps
Any other means
6.2 Duration and interval of Follow up
6.3 Number of cases followed up
6.4 Outcome Assessment criteria
Subjective parameters (Clinical
presentation) OR
Objective parameters (Laboratory and
other Investigations) OR
Both
7. Results
Total Number of Cases
a. Cured*
b. Marked Improvement**
c. Moderate Improvement***
d. No Improvement
e. Worse
f. Dropouts
g. Deaths
h. Cases referred to other Hospitals
8. Any adverse drug reaction/side effect(s) observed?
If yes, what were the side effects/drug reactions
observed?
Yes/ No
Name (s) of side effects/
drug reactions
No. of cases
9. Approximate Expenditure incurred on medicine
per patient
10. Any constraints / difficulties faced, including man power and financial, during the study
11. Salient achievements of the study
12. If you would have opportunity to work in this direction in future, how would like to proceed:
*Cured-Complete remission of signs and symptoms and normalization of Laboratory findings.
** Marked Improvement- Complete remission of signs and symptoms.
*** Moderate Improvement Partial remission of sign and symptoms.
UNDERTAKING
1) I/ We do hereby affirm that the above information is based on facts and is based on the work
of the undersigned.
2) I/ We would have no objection if this information is documented in public interest.
Place:
Date:
Name of the Individual/Organization
Seal
81
ANNEXURE- 5
PRECLINICAL EVALUATION (PHARMACOLOGY) OF LINGA CHENDURAM
AND NILAVEMBU KUDINEER
1. Linga Chenduram was studied in acute and sub-acute toxicity models. The drug
did not show any toxixity within 7 days after single exposure, but showed sub
acute toxic affects in the doses of 200 and 500 mg/ kg body weight with
presence of mercury in vital tissue and histopathological studies.
2. Linga chenduram was evaluated for its probable antipyretic, hypothermic, anti
inflammatory and analgesic effect in various experimental models using albino
rats and mice. The drug showed significant antipyretic activity comparable to
that of Acetyl Salicylic Acid and Paracetamol. The drug also showed significant
analgesic activity in mice by hot plate method.
3. Nilavembu kudineer, a mixture of nine herbal materials in equal parts have long
since been used as febrifuge in Siddha medicine. The drug was screened for
antipyretic, analgesic and anti-inflammatory activities in different experimental
models. The drug showed significant anti-inflammatory effects in the doses of 20
and 30 ml /Kg, orally. The drug also showed the analgesic activity for 50 and 30
ml / kg, which showed 53.36% and 37.31% effect respectively.
82
ANNEXURE-6
Standard Operating Procedures for Commonly
Used Ayurveda and Siddha Formulations In
Chikungunya
( A).AYURVEDIC FORMULATIONS
I. Category : ASAVA & ARISHTA
(1). AMRITARISHTA
Reference : Bhaishajya Ratnavali, Jvaradhikara ; 690-692
Definition : Amritarishta is a fermented liquid preparation with self generated
alcohol prepared by using following ingredients.
Ingredients :
S.No. Sanskrit Name Botanical Name Part Quantity
1. Amrita(Guduci) Tinospora cordifolia (Willd.)Miers Stem 4.800Kg
2. Bilva Aegle marmelos Corr. Root/stem bark 480 g
3. Syonaka Oroxylum indicum Vent. Root/stem bark 480 g
4. Gambhari Gmelina arborea Linn. Root/stem bark 480 g
5. Patala Stereospermum suaveolens DC. Root/stem bark 480 g
6. Agnimantha Premna integrifolia Linn. Root/stem bark 480 g
7. Salaparni Desmodium gangeticum DC Plant 480 g
8. Prisniparni Uraria picta Desv. Plant 480 g
9. Brihati Solanum indicum Linn. Plant 480 g
10. Kantakari Solanum xanthocarpum Schard &
Wendle.
Plant 480 g
11. Goksura Tribulus terrestris Linn. Plant 480 g
12. Water for decoction
reduced to
49.152Lit.
12.288 Lit.
13. Guda 14.400Kg
Praksepa dravyas
14. Ajaji (sveta
jiraka)
Cuminum cyminum Linn. Fruit 768 g
15. Raktapuspaka
(Parpata)
Fumaria parviflora Linn. Plant 96g
16. Saptacchada
(Saptaparna)
Alstonia scholaris R.Br. Stem bark 48g
83
17. Sunthi Zingiber officinale Rosc. Rhizome 48g
18. Marica Piper nigrum Linn. Fruit 48g
19. Pippali Piper longum Linn. Fruit 48g
20. Nagakesara Mesua ferrea Linn. Stamen 48g
21. Abda (Musta) Cyperus rotundus Linn. Rhizome 48g
22. Katvi (Katuka) Picrorrhiza kurroa
Royle ex. Benth.
Rhizome 48g
23. Prativisa
(Ativisa)
Aconitum heterophyllum
Wall ex. Royle
Root 48g
24. Vatsabija
(Indrayava)
Holorrhena antidysentrica Wall. Seed 48g
Method of Preparation:
1. Take the raw materials of Pharmacopoeial quality.
2. Coarsely powder the ingredients 1-11, add water and soak for over night.
3. Boil the mixture till it is reduced to one fourth. Filter through an unbleached muslin
cloth.
4. Crush jaggery and add to above decoction, stir it well till the jaggery dissolves
completely.
5. Powder the ingredients 14-24 individually and pass through BSS Sieve No.60 and add
to above kashaya.
6. Transfer the above preparation to the old earthen pot which is previously, ghee
smeared and fumigated with Pippali churna.
7. Seal the lid with 7 layers of clay smeared cloth and keep the pot in a heap of grains
for 4-7 weeks without disturbing.
8. After 30 days, check whether fermentation process is completed by lighting a match
stick near the lid, if it does not extinguish fermentation is completed.
9. Filter the solution through unbleached muslin cloth 2-3 times.
10. Store in air tight, amber coloured, glass container.
Dosage : 12-24 ml
Anupana : Water
Important Therapeutic Use: All types of Jvara
Commonly, majority of formulations are advised to take after food.
84
II. Category : KVATHA CURNA
(1). AMRTOTTARA KVATHA CURNA (Synonym: Nagaradi Kvatha Curna)
Reference : Sahasrayoga, Kasayaprakarana ; 30
Definition : Amrotottara Kvatha Curna is a coarse powder prepared by using
following ingredients.
Ingredients :
S.NO. Sanskrit Name Botanical Name Part used Quantity
1. Nagara (Sunthi) Zingiber officinale Rosc. Rhizome 2 parts
2. Amrita (Guduci) Tinospora cordifolia (Willd.) Miers Stem 6 parts
3. Haritaki Terminalia chebula Retz. Pericarp 4 parts
Method of Preparation:
1. Take the raw materials of Pharmacopoeial quality.
2. Coarsely powder the ingredients individually and pass through sieve No.10.
3. Mix all the ingredients in the proportion mentioned above to get homogeneous
mixture.
4. Store in air tight container.
Dosage : 48 g (in decoction form*)
Important therapeutic use : Jirna jvara, sannipatra jvara
* Decoction is to be made from Kvathacurnas and then be consumed.
(2). CHINNODBHAVADI KVATHA CURNA
Reference : Sahasrayoga, Kashaya Prakarana; 38
Definition : Chinnodbhava Kvatha Curna is a coarse powder prepared by using
following ingredients.
Ingredients :
S.No. Sanskrit Name Botanical Name Part
used
Quantity
1. Chinnodbhava
(Guduci)
TInospora cordifoilia (Willd.) Miers Stem 1 Part
2. Vrisa (Vasa) Adhatoda vasica Nees. Root 1 Part
85
3. Kiratika(Kiratatikta) Swertia chirayata (Roxb. ex. Flem.)Karst Plant 1 Part
4. Parpata Fumaria parviflora Linn. Plant 1 Part
5. Sunthi Zingiber officinale Rosc. Rhizome 2 Parts
6. Valahaka (Musta) Cyperus rotundus Linn. Rhizome 3 Parts
7. Yavasaka Alhagi pseudalhagi (Beib)Desv Plant 3 Parts
Method of Preparation:
1. Take the raw materials of pharmacopoeial quality.
2. Coarsely powder the ingredients individually and pass through sieve No.10.
3. Mix all the ingredients in the proportion mentioned above to get homogeneous
mixture.
4. Store in air tight container.
Dosage : 48 g (in decoction form*)
Therapeutic Uses : Sannipata Jvara
(3) RASNADI KVATHA CURNA
Reference : Sahasra Yoga, Kashaya Prakaran:396
Definition : Rasnadi Kvatha Curna is a coarse powder prepared by using following
ingredients.
Ingredients
S.No. Sanskrit Name Botanical Name Part used Quantity
1. Rasna Pluchea lanceolata Oliver & Hiern. Plant 1 Part
2. Tamalaki Phyllanthus niruri Linn. Plant 1 Part
3. Vrisa Adhatoda vasica Nees. Root 1 Part
4. Agaru Aquilaria agallocha Roxb. Heart wood 1 Part
5. Sathi Hedychium spicatum Ham ex. Smith Rhizome 1 Part
6. Citra Ricinus communis Linn. Root 1 Part
7. Abda Cyperus rotundus Linn. Rhizome 1 Part
8. Cavya Piper chaba Hunter Root 1 Part
9. Asmabhit Berginea ligulata (Wall.)Engl. Rhizome 1 Part
10. Dhatri Emblica officinalis Gaertn. Pericarp 1 Part
11. Bharangi Clerodendron serratum (Linn.)Moon Root 1 Part
12. Patola Trichosanthes dioica Roxb. Plant 1 Part
13. Pushkara Inula racemosa Hook.f. Root 1 Part
14. Nisa Curcuma longa Linn. Rhizome 1 Part
15. Sairiya Barleria prionitis Linn. Plant 1 Part
16. Visva Zingiber officinale Rosc. Rhizome 1 Part
86
17. Agni Plumbago zeylanica Linn. Root 1 Part
18. Bilva Aegle marmelos Corr. Stem bark 1 Part
19. Syonaka Oroxylum indicum Vent. Stem bark 1 Part
20. Gambhari Gmelina arborea Linn. Stem bark 1 Part
21. Patala Sterospermum suaveolens DC. Stem bark 1 Part
22. Agnimantha Premna integrifolia Linn. Stem bark 1 Part
23. Salaparni Desmodium gangeticum DC. Plant 1 Part
24. Prisniparni Uraria picta Desv. Plant 1 Part
25. Brihati Solanum indicum Linn. Plant 1 Part
26. Kantakari Solanum xanthocarpum Schard.&
Wall.
Plant 1 Part
27. Gokshura Tribulus terrestris Linn. Plant 1 Part
28. Daru Cedrus deodara (Roxb.)Loud Heartwood 1 Part
Method of Preparation:
1. Take the raw materials of pharmacopoeial quality.
2. Coarsely powder the ingredients individually and pass through Sieve No.10.
3. Mix all the ingredients in the proportion mentioned above to get homogeneous
mixture.
4. Store in air tight container.
Dosage : 48 g (in decoction form*)
Prakshepa Dravya : Saindhava lavana, Khanda, Pippali
Important therapeutic Uses : Amavata, Vata roga etc.,
(4). MAHA RASNADI KVATHA CURNA
Reference : Sarangdhara Samhita, Madhyama Khanda, Adhaya 2: 89-91
Definition : Maha Rasnadi Kvatha Curna is a coarse powder prepared by using
following ingredients.
S.No. Sanskrit Name Botanical Name Part used Quantity
1. Rasna Pluchea lanceolate Oliver &Hiern. Plant 1 Part
2. Dhanvayasa Fagonia criteca Linn. Plant 1 Part
3. Bala Sida cordifolia Linn. Plant 1 Part
4. Eranda mula Ricinus communis Linn. Plant 1 Part
5. Devadaru Cedrus deodara (Roxb.) Loud Heart wood 1 Part
87
6. Sathi Hedychium spicatum Ham ex. Smith Rhizome 1 Part
7. Vaca Acorus calamus Linn. Rhizome 1 Part
8. Vasaka Adhatoda vasica Nees. Leaf 1 Part
9. Nagara Zingiber officinale Rosc. Rhizome 1 Part
10. Pathya Terminalia chebula Retz. Pericarp 1 Part
11. Cavya Piper chaba Hunter Stem 1 Part
12. Musta Cyperus rotundus Linn Rhizome 1 Part
13. Punarnava Boerrhavia diffusa Linn Root 1 Part
14. Guduchi Tinospora cordifolia (Willd.)Miers Stem 1 Part
15. Vriddhadaru Ipomea petaloidae Choisky Root 1 Part
16. Satapushpa Foeniculum vulgare Mill. Fruit 1 Part
17. Gokshura Tribulus terrestris Linn. Fruit 1 Part
18. Asvagandha Withania somnifera Dunal. Root 1 Part
19. Prativisa (Ativisa) Aconitum heterophyllum
Wall. ex. Benth
Root 1 Part
20. Kritamala Cassia fistula Linn. Root 1 Part
21. Satavari Asparagus racemosus Linn. Root 1 Part
22. Krisna Piper longum Linn. Fruit 1 Part
23. Sahachara Barleria prionotis Linn. Plant 1 Part
24. Dhanyaka Corinadrum sativum Linn. Plant 1 Part
25. Kantakari Solanum xanthocarpum
Schard & Wall.
Plant 1 Part
26. Brihati Solanum indicum Linn. Plant 1 Part
Method of Preparation:
1. Take the raw materials of pharmacopoeial quality.
2. Coarsely powder the ingredients individually and pass through Sieve No.10.
3. Mix all the ingredients in the proportion mentioned above to get homogeneous
mixture.
4. Store in air tight container.
Dosage : 48 g (in decoction form*)
Prakshepa Dravya : Sunthi Curna, Pippali Curna, Ajamodadi Curna
Important therapeutic Uses : Vata roga, Amavata etc.,
88
III. Category : GUGGULU
(1). Yogaraj Guggullu
Reference : Bhaishajyaratnavali, Amavatadhikara; 90-93
Definition : Yogaraj guggullu is a tablet, prepared by using following ingredients.
Ingridients:
S.No. Sanskrit Name Botanical Name Part used Quantity
1. Citraka Plumbago zeylanica Linn. Root 1 part
2. Pippalimula Piper longum Linn. Root 1 part
3. Yavani (Yavani) Trachyspermum ammi (Linn.)
Sparague
seed 1 part
4. Karavi (Krisna jiraka) Carum carvi Linn. Fruit 1 part
5. Vidanga Embelia ribes Burn.f. Fruit 1 part
6. Ajamoda Apium graveolens Linn. Fruit 1 part
7. Jiraka Cuminum cyminum Linn. Fruit 1 part
8. Suradaru (devadaru) Cedrus deodara (Roxb.)Loud Heart
wood
1 part
9. Cavya Piper chaba Hunter. Stem 1 part
10. Ela Elettaria cardamomum
Maton
Seed 1 part
11. Saindhava lavana Rock salt - 1 part
12. Kustha Saussurea lappa C.B. Clarke Root 1 part
13. Rasna Pluchea lanceolata
Oliver & Hiern.
Root/leaf 1 part
14. Goksura Tribulus terrestris Linn. Fruit 1 part
15. Dhanyaka Coriandrum sativum Linn. Fruit 1 part
16. Haritaki Terminalia chebula Retz. Pericarp 1 part
17. Bibhitaki Terminalia belerica Roxb. Pericarp 1 part
18. Amalaki Emblica officinalis Gaertn. Pericarp 1 part
19. Mustaka (musta) Cyperus rotundus Linn. Rhizome 1 part
20. Sunthi Zingiber officinale Rosc. Rhizome 1 part
21. Marica Piper nigrum Linn. Fruit 1 part
22. Pippali Piper longum Linn. Fruit 1 part
23. Tvak Cinnamomum zeylanicum
Blume
Stem bark 1 part
24. Usira Vetiveria zizanoides (Linn.)
Nash
Root 1 part
25. Yavagraja (yava) ksara Hordium vulgare Linn. Plant 1 part
26. Talisa patra Abies webbiana Lildl. Leaf 1 part
27. Patra Cinnamomum tamala Nees &
Eberm.
Leaf 1 part
28. Guggulu - sodhita Commiphora wightii. Exudate 1 part
89
(Arn.) Bhandari
29. Sarpi (Goghrita) Clarified Butter 1 part
Method of Preparation:
1. Take the raw materials of Pharmacopoeial quality.
2. Purify Guggulu (as per method mentioned in Ayurvedic Formulary of India, Part-I, 2
nd
Edition).
3. Powder the ingredients 1 to 27, except 11 and 25 and pass through the Sieve No.85
4. Roast Saindhava Lavana on moderate flame till the moisture is removed and pass
through Sieve No.85.
5. Prepare Yavakshara (as mentioned in Ayurvedic Formulary of India, Part-I, 2
nd
Edition) and pass through Sieve No.85.
6. Add all the fine powders mentioned in above proportin to purified Guggullu and
pound it well with adding small quantities of Ghrita in Stone mortar till if forms a
soft mass.
7. Make the pills and dry at 40C in oven.
8. Store in air tight glass container.
Dosage : 3 g
Anupana : Rasnasaptaka kvatha, Lasuna svarasa, honey.
Important therapeutic uses : Udararoga, amavata, adhyavata, krimi, dusta vrana,
plihavriddhi, gulma, anaha, arsa, agnimandhya, daurbalya,
sandhigata, vata, majjagata vata.
90
IV. Category : CURNA
1). SUDARSANA CURNA
Reference : Bhaishajya Ratnavali, Jvaradhikara; 308-312
Definition : Sudarshana Curna is a powder prepared from following ingridients.
Ingredients
S. No. Sanskrit Name Botanical Name Part Quantity
1. Kaliyaka (Pita candana) Coscinium fenestratum Colebr. Heart
wood
1 Part
2. Rajani (Haridra) Curcuma longa Linn. rhizome 1 Part
3. Devadaru Cedrus deodara (Roxb.) Loud Heartwood 1 Part
4. Vaca Acorus calamus Linn. rhizome 1 Part
5. Ghana Cyperus rotundus Linn. Tu.Root 1 Part
6. Abhaya (Haritaki) Terminalia chebula Retz. Pericarp 1 Part
7. Danvayasa Fagonia cretica Linn. Plant 1 Part
8. Sringi (Karkatasringi) Pistacia intergerrima Stew ex
Brandis
Gall 1 Part
9. Ksudra (Kantakari) Solanum xanthocarpam Schard
& Wall
Plant 1 Part
10. Mahausadha (Sunthi) Zingiber officinale Rosc. Rhizome 1 Part
11. Trayanti (Trayamana) Gentiana kurroo Royle. Plant 1 Part
12. Parpata Fumaria parviflora Linn. Plant 1 Part
13. Nimba Azardirachta indica A. Juss. Stem bark 1 Part
14. Grandhika (Pippalimula) Piper longum Linn. Root 1 Part
15. Balaka (hrivera) Coleus vettiveroides K.C.Jacob Root 1 Part
16. Sathi Hedychcum spicatum
Ham ex. Smith
Rhizome 1 Part
17. Pauskara (Puskara) Inula racemosa Hook.f Root 1 Part
18. Magadhi (Pippali) Piper longum Linn. Fruit 1 Part
19. Murva Marsedenia tenacisisma
Wight&Arn.
Root 1 Part
20. Kutaja Holorrhena antidysentrica
Wall.
Stem bark 1 Part
21. Madhuyasti (Yasti) Glycyrrhiza glabra Linn. Root 1 Part
22. Sigrudbhava (Sigru) Moringa pterygosperma
Gaertn.
Seed 1 Part
23. Indrayava (Kutaja) Holorrhena antidysentrica
Wall.
Seed 1 Part
24. Vari (Satavari) Hemedesmus indicus R.Br. Root 1 Part
91
25. Darvi (Daru haridra) Berberis aristata DC. Stem 1 Part
26. Kucandana (Rakta
candana)
Pterocarpus santalinus Linn. Heart
wood
1 Part
27. Padmaka Prunus serasaoides D.Don Heart
wood
1 Part
28. Sarala Pinus longifolia Linn. Heartwood 1 Part
29. Usira Vettiveria zizanoides Nash. root 1 Part
30. Tvak Cinnamomum zeylanicum
Blume.
Stem Bark 1 Part
31. Saurastri Alum 1 Part
32. Sthira (Salaparni) Desmodium gangiticum DC Plant 1 Part
33. Yamani (Yavani) Trachyspermum ammi
Sprauge.
Fruit 1 Part
34. Ativisha Aconitum heterophyllum Rt. Tuber 1 Part
35. Bilva Agele marmelos Corr. Rt/Stem
bark
1 Part
36. Marica Piper nigrum Linn. Fruit 1 Part
37. Gandhapatra (Prasarani) Paederia foetida Linn. Leaf 1 Part
38. Dhatri (Amalaki) Emblica officinalis Gaertn. Pericarp 1 Part
39. Guduci Tinospora cordifolia
(Willd.)Miers
Stem 1 Part
40. Katuka Picrrorhiza kurroa Royle.ex
Brandis
Rhizome 1 Part
41. Citraka Plumbago zeylanica Linn. Root 1 Part
42. Patola Trichosanthes dioica Roxb. Plant 1 Part
43. Kalasi (Prisniparni) Uraria picta Desv. Plant 1 Part
44. Kairata (Kiratatikta) Swertia chirayata
(Roxb.ex.Flem). Karst
Plant 1 Part
Method of Preparation:
1. Take the raw materials of pharmacopoeial quality.
2. Powder the ingredients individually and pass through Sieve No.85.
3. Mix all the ingredients in the proportion mentioned above to get homogeneous
mixture.
4. Store in air tight container.
Dose : 2-4 g
Anupana : Warm water
Indication : Jvara, Vishama Jvara, Jirna jvara
92
(2) NIMBADI CURNA
Reference : Bhaishajya Ratnavali, Vatarakthadhikara; 31-33
Definition : Nimbadi Curna is a powder prepared from following ingredients.
S. No. Sanskrit Name Botanical Name Part Quantity
1. Nimba Azadirachta indica A.Juss. Stem bark 48g
2. Amrita Tinospora cordifolia
Willd.Miers
Stem 48g
3. Abhaya Terminalia chebula Retz. Pricap 48g
4. Dhatri Emblica officinalis Gaertn. Pericap 48g
5. Somaraji Psoralea corylifolia Linn. Seed 48g
6. Sunthi Zingier officnale Rosc. Rhizome 12 g
7. Vidanga Embelia ribes Burn.f Fruit 12 g
8. Edagaja Cassia tora Linn. Seed 12 g
9. Kana Piper longum Linn. Fruit 12 g
10. Yavani Tracyspermum ammi
Sprauge.
Fruit 12 g
11. Ugragandha Acorus calamus Linn. Rhizome 12 g
12. Jeeraka Cuminum cyminum Linn,. Fruit 12 g
13. Katuka Picrorrhiza kurroa oyle.ex
Benth
Rhizome 12 g
14. Khadira Acacia catechu Linn. Heartwood 12 g
15. Saindhava Rock salt - 12 g
16. Yavakshara Hordeum vulgare Linn. - 12 g
17. Haridra Curcuma longa Linn. Rhizome 12 g
18. Daru haridra Berberis aristata DC. Stem 12 g
19. Musta Cyperus rotundus Linn, Rhizome 12 g
20. Devadaru Cedrus deodara Roxb Heartwood 12 g
21. Kushta Saussurea lappa C.B.Clarke Root 12 g
Method of Preparation
1. Take the raw materials of pharmacopoeial quality.
2. Powder the ingredients individually except 15 and 16 and pass through Sieve No.85.
3. Roast Saindhava lavana till moisture is removed and pass through sieve No.85
4. Mix all the ingredients in the proportion mentioned above to get homogeneous
mixture.
5. Store in air tight container.
Dose : 1-3 mg
Anupana : Guduchi Kvatha, Warm water
Indication : Udara, amavata, vatarakta, kushta, pama, carma dala etc.,
93
V. Category : VATI
[1]. Sanjivani Vati
Reference : Sarangdhara Samhita, Madhyama Khanda Adhyaya 7;18-19
Definition : Sanjivani vati is a tablet prepared from the following ingredients.
Ingredients
S. No. Sanskrit Name Botanical Name Part Quantity
1. Vidanga Embelia ribes Burn. f Fruit 1 Part
2. Nagara Zingiber officinale Rosc. Rhizome 1 Part
3. Krishna Piper longum Linn. Fruit 1 Part
4. Pathya Terminalia chebula Retz. Pericarp 1 Part
5. Amalaki Emblica officinalis Gaertn. Pericarp 1 Part
6. Bibhitaki Terminalia belerica Roxb. Pericarp 1 Part
7. Vaca Acorus calamus Linn. Rhizome 1 Part
8. Guduchi Tinospora cordifolia
(Willd.)Miers
Stem 1 Part
9. Bhalllatak Suddha Semecarpus anacardium
Linn.
Fruit 1 Part
10. Visa (Vatsanabha )Suddha Aconitum ferox Root tuber 1 Part
11. Gomutra Cows urine - Q.S.
Method of Preparation:
1. Take the raw materials of Pharmacopoeial quality.
2. Purify Bhallataka and Vatsanabhi.(Method mentioned in Ayurvedic Formulary, Part-I,
-2
nd
Edition.)
3. Powder all the ingredients individually and pass through BSS Sieve No.85
4. Mix all the powders in the proportion mentioned above.
5. Triturate above mixture with Cows urine till the mixture attains the pill consistency.
6. Dry at 40 C in oven.
7. Store in air tight container.
Dosage : 125 mg
Anupana : Ardraka swarasa, warm water
Indication : Ajirna, visuchi, gulma
94
(B) SIDDHA FORMUALTIONS
(1). PIRAMMNANTA PAIRAVAM
Reference: Citta vaittiyat tirattu, pp. 35,
The Siddha Formulary of India, pp. 93
Ingredients:
1. Venkram (Borax) Sodium- biborate 1 part
2. Kantakam Sulphur 1 part
3. Manclai (Red orpiment) Arsenic disulphide 1 part
4. Aritram (Yellow orpiment) Arsenic trisulphide 1 part
5. Npi (Root) Aconitum ferox 1 part
6. Cukku (Dried rhizome) Zingiber officinale 1 part
7. Ilin kam (Cinnabar) Red sulphide of Mercury 1 part
8. Incic cru (Rhizome juice) Zingiber officinale Q. S.
Purification of drugs:
Venkram
Fry it till water of crystallization gets evaporated and use.
Kantakam
Melt kantakam in a spoon with butter. Pour into Cows milk. Repeat for a total of 30 times.
Wash in water and dry.
Manclai
Grind it in ginger juice, lime juice and in cows butter milk separately for 3 hours each. Dry it
in sun and use.
Aritram
Keep it inside the lime stone. Pour donkeys urine over the lime stone. After sometime take
out Aritram, wash and use.
Npi
Cut it into small pieces. Soak it in cows urine for three days. Wash it in water and use.
Note: Daily change the Cows urine.
Ilin kam
Soak it in lime juice for 24 hours. Wash it with water and use.
95
Method of Preparation:
Purify drugs 1 to 7 and grind finely with item 8 for 24 hours and make 100 mg. pills and dry
in shade.
Dose and Anupana: 1 to 2 Pills twice daily with honey or water
(2). TIRIKATUKUC CRANAM
Reference: Akattiyar paripranam- 400, Stanza No. 300
The Siddha Formulary of India, pp 156
Ingredients:
1. Cukku (Dried rhizome) Zingiber officinale 1 part
2. Mil aku (Fruit) Piper nigrum 1 part
3. Tippili (Fruit) Piper longum 1 part
Method of Preparation:
Powder each items separately, sieve and then mix them.
Dose and Anupana: 1 g twice daily with honey or water
(3). NILAVMPUK KUT INR
Reference: Citta vaittiyat tirattu, pp. 291
The Siddha Formulary of India, pp 161
Ingredients:
1. Nilavmpuc camlam(W.plant) Andrographis paniculata 1 part
2. Vet tivr (Root) Vettiveria zizanioides 1 part
3. Vilmiccam vr (Root) Cymbopogon jwarancusa 1 part
4. Cantanat tl (Wood powder) Santalum album 1 part
5. Pypput al camlam (W.plant) Trichosanthes cucumerina 1 part
6. Kraik kil anku (Rhizome) Cyperus rotundus 1 part
7. Cukku (Dried rhizome) Zingiber officinale 1 part
8. Mil aku (Fruit) Piper nigrum 1 part
9. Par ptakam (W.plant) Mollugo cerviana 1 part
Method of Preparation:
Gently pound the drugs and mix. (Boil 25 gm. of powder with 500 ml. of water till the
decoction is concentrated to 125 ml.)
Dose : 15 to 30 ml twice daily
96
(4). PINTA TAILAM
Reference: Gun aptam, Part II, pp 433
Ingredients:
1. Manjitti (Root) Rubia cordifolia 50 gm.
2. Nannri (Root) Hemidesmus indicus 50 gm.
3. Ven kun kiliyam (Resin) Shorea robusta 25 gm.
4. Tn meluku Bees wax 25 gm
5. Nallenney (Sesame oil) Sesamum indicum 600 ml.
6. Nr Water 2.4 lit.
7. Kti nr Vinegar Q. S.
Method of Preparation:
Powder items 1 and 2 and sieve. Separate the fine and coarse powder. Make a paste with
the fine powder using vinegar. Make a decoction with the coarse powder. Mix the paste and
decoction, add sesame oil and prepare tailam. Put powder of item 3 and small pieces of
item 4 in the filter, pour tailam gently until the drugs are dissolved completely.
Dose: External Application
(5). KARKPRTHY TAILAM
Ingredients:
1. mam (Seed) Trachyspermum ammi 16 parts
2. Karpram (Camphor) Cinnamomum camphora 1 part
3. Tnki ennai (Coconut oil) Cocos nucifera 4 parts
Purification of drug:
Karpram
Remove foreign bodies like dust etc. Keep it soaked in Cen kal unr flower juice for 24
minutes. Dry it sunlight and use.
Method of Preparation:
Boil items 1 and 3 and prepare tailam up to hard stage and filter. Mix Kar pram with the
tailam, when it is still hot. Store in tightly stoppered bottles.
Dose: External Application
97
(6). ILIN KAC CENTRAM (No. 1)
Reference: Gunaptam, part II and III, pp 159
The Siddha Formulary of India, pp 38
Ingredients:
1. Ilin kam (Cinnabar) Red sulphide of Mercury 35 gm
2. rrut tummattic camlac cru Citrullus colocynthis 1. 4 lits.
(W. plant juice)
Purification of the drug:
Ilin kam
Soak it in lime juice for 24 hours. Wash it with water and use.
Method of Preparation:
Heat item 1 in an earthen pan. Add item 2 in small quantities and continue heating till item
2 is totally used up. Wash and finely powder.
Dose and Anupana: 100 m g twice daily with honey or water
(7). KAURI CINTMAN IC CENTRAM
Reference: Akattiyar vaittiya kviyam- 1500, Stanza No. 741- 752
The Siddha Formulary of India, pp 40
Ingredients:
1. Iracam (Mercury) Hydrargyrum 35 gm.
2. Kantakam Sulphur 35 gm.
3. Porikram (Borax) Sodium biborate 35 gm.
Purification of the drugs:
Iracam
Grind it well with brick powder and turmeric powder separately for 24 hours each. Wash it
in water and use.
Kantakam
Melt Kantakam in a spoon with butter. Pour into Cows milk. Repeat for a total of 30 times.
Wash in water and dry.
Porikram
Fry it till the water of crystallization gets evaporated and use.
98
Method of Preparation:
Grind items 1 and 2 and then grind with item 3 to a fine powder. Pack them in pieces of
thick cloth into spherical bundles of the size of an areca nut. Place them on the ground in a
line, cover them with sand, arrange 10 Cow dung cakes on them and ignite. When burnt and
cooled, recover the contents of the packets and grind to a powder. The product will be of a
black shade similar to that of a plmpal am.
Dose and Anupana: 100 mg twice daily with honey or water
(8). AMUKKARC CRANAM
Reference : Akattiyar vaittiya irattinac curukkam, Stanza No. 129- 130
The Siddha Formulary of India, pp 152
Ingredients:
1. Kirmpu (Flower bud) Syzygium aromaticum 1 part
2. Cirunkkapp (Flower bud) Cinnamomum wightii 2 parts
3. lam (Fruit) Elettaria cardamomum 4 parts
4. Mil aku (Fruit) Piper nigrum 8 parts
5. Tippili (Fruit) Piper longum 16 parts
6. Cukku (Dried rhizome) Zingiber officinale 32 parts
7. Amukkar (Root) Withania somnifera 64 parts
8. Carkkarai Sugar 128 parts
Method of Preparation:
Clean items 1 to 7 and powder each of them and mix. Add sugar (item 8) and mix well.
Dose and Anupana: 1 g thrice daily with honey or water
(9). RUMUKA CENTRAM
Reference: Citta vaittiyat tirat tu, pp 138
The Siddha Formulary of India, pp 36
Ingredients:
1. Vlai iracam Mercury obtained from Cinnabar 5 parts
2. Kntam (Magnet) Magnetic oxide of iron 7 parts
3. Kantakam Sulphur 9 parts
4. Venkram (Borax) Sodium biborate 8 parts
99
5. Intuppu (Rock salt) Sodium chloride impura 4 parts
6. Ayappoti (Powder of iron) Iron filings 12 parts
7. Katrazhai charu Aloe vera Q.s.
Purification of the drugs:
Kantam
Heat it till it becomes red hot. Then dip it in horse gram decoction. Repeat the process for
21 times.
Kantakam
Melt Kantakam in a spoon with butter. Pour into Cows milk. Repeat for a total of 30 times.
Wash in water and dry.
Venkram
Fry it till water of crystallization gets evaporated and use.
Method of Preparation:
Powder and keep each of the items listed from 2 to 6 separately. Grind item 1 with the
powder of item 3 and then add the other powders and grind with the addition of item 7 for
5 days. Finally make cakes and dry. Place them in a wide earthen trough, cover with another
identical trough and seal seven times with clay smeared cloth ribbon. Heat on an oven for
24 hours, allow to cool and take the centram which will be like mtul am p in color.
Powder it and store.
Dose and Anupana: 100 mg thrice daily with honey or water
(10). PAVALA PARPAM (NARPAVALA PARPAM)
Reference: Akattiyar vaittiya pranam- 205, Stanza No. 62- 65
The Siddha Formulary of India, pp 28
Ingredients:
1. Narpavalam Coral Q.s.
2. Kttu Muyal Irattam Blood of the jungle rabbit Q.s.
Purification of drug:
Narpavalam
Soak it in lime juice for a day. Wash and use.
Method of Preparation:
Put item 1 in a flask or crucible, add item 2, seal and calcine. Take the product and keep
exposed to the atmosphere for two days, so that it readily crumbles. Powder and store.
Dose and Anupana: 50m g thrice daily with honey or water
100
(11).NKA PARPAM
Reference: Citta vaittiya tiratt u, pp 122
The Siddha Formulary of India, pp 26
Ingredients:
1. Nkam (Tutta nkam) Zinc Q.s.
2. Kariclaic camlac cru Eclipta prostrata Q.s.
Purification of drug:
Nkam
Melt the metal and pour cautiously into Iluppai ney (Mahua oil) mixed with some sal
ammoniac. Recover metal and repeat the process 20 more times.
Method of Preparation:
Put item 1 in a heavy earthen pan and heat. When it is molten add item 2 little by
little for 12 hours so that a calx results.
Dose and Anupana: 100 -200 mg twice daily with honey or water
(12).VACANTA KUCUMKARAM
Reference: Citta vaittiya tirat t u, pp 42
The Siddha Formulary of India, pp 94
Ingredients:
1. Ilinkam (Cinnabar) Red sulphide of Mercury 8.75 gm.
2. Venkram (Borax) Sodium biborate 8.75 gm.
3. Ilavankam (Flower bud) Syzygium aromaticum 8.75 gm.
4. Tippili (Fruit) Piper longum 8.75 gm.
5. Kot tam (Tuber) Saussurea costus 8.75 gm.
6. Akkarkram (Root) Anacyclus pyrethrum 8.75 gm.
7. Atimaturam (Root) Glycyrrhiza glabra 8.75 gm.
8. Krcanai (Gall stone of the ox) Bos taurus 4. 2 gm.
9. Paccaik karpram Borneo camphor 4. 2 gm.
10. Kunkumapp (Saffron) Crocus sativus 4. 2 gm.
11. Incic cru (Rhizome juice) Zingiber officinale Q.s.
12. Typ pl Mothers milk Q.s.
101
Purification of drugs:
Ilinkam
Soak it in lime juice for 24 hours. Wash it with water and use.
Venkram
Fry it till water of crystallization gets evaporated and use.
Paccaik karpram
Remove foreign bodies like dust etc. Keep it soaked in Cenkalunr flower juice for 24
minutes. Dry it sunlight and use.
Method of Preparation:
Grind drugs 1 to 10 with the addition of item 11 for 2 days and item 12 for another 2
days. Make 100 mg. pills and dry in shade.
Dose and Anupana: 1 g twice daily with honey or water
(13).TLICTIC CRANAM
Reference: Citta vaittiyat tirattu, pp 228- 229
The Siddha Formulary of India, pp 155
Ingredients:
1. Tlicap pattiri (Leaves) Taxus baccata 1 part
2. Ilavancap pattai (Bark) Cinnamomum veru 1 part
3. lam (Fruit) Ellettaria cardamomum 1 part
4. Cukku (Dried rhizome) Zingiber officinale 1 part
5. Atimaturam (Root) Glycyrrhiza glabra 1 part
6. Perunkyam (Oleo-gum- resin) Ferula foetida 1 part
7. Nellimulli (Dried fruit) Phyllanthus emblica 1 part
8. Kottam (Root) Saussurea costus 1 part
9. Tippili (Fruit) Piper longum 1 part
10. Karuncrakam (Seed) Nigella sativa 1 part
11. Catakuppai (Fruit) Anethum sowa 1 part
12. mam (Fruit) Trachyspermum ammi 1 part
13. Narcrakam (Fruit) Cuminum cyminum 1 part
14. Tippilik kattai (Stem) Piper longum 1 part
15. Kirampu (Flower bud) Syzygium aromaticum 1 part
16. Ctipattiri (Aril) Myristica fragrans 1 part
17. Karkatakacinki (Gall) Rhus succedanea 1 part
18. Ctikky (Kernel) Myristica fragrans 1 part
102
19. Tnrikkyt tl (Fruit rind) Terminalia belerica 1 part
20. Katukkyt tl (Fruit rind) Terminalia chebula 1 part
21. Catmncil (Root) Nardostachys grandiflora 1 part
22. Milaku (Fruit) Piper nigrum 1 part
23. Cirunkapp (Flower bud) Cinnamomum wightii 1 part
24. Canpaka mokku (Flower bud) Michelia champaka 1 part
25. Vyvitankam vittu (Seed) Embelia ribes 1 part
26. Ilavanka pattiri (Leaf) Cinnamomum tamala 1 part
27. Kottumalli vittu (Seed) Coriandrum sativum 6 parts
28. Carkkarai Sugar 12 parts
Method of Preparation:
Clean, dry in sun, gently fry and finely powder items 1 to 27, sieve the
powder and mix with item 28.
Dose and Anupana: 1-2 tab twice daily with honey or water
(14).VISHNU CAKKARAM
Reference: Vaittiya cillaraik krvai, pp 249)
The Siddha Formulary of India, pp 95
Ingredients:
1. Iracam (Mercury) Hydrargyrum 1 part
2. Ilinkam (Cinnabar) Red sulphide of Mercury 1 part
3. Kantakam Sulphur 1 part
4. Npi (Root) Aconitum ferox 1 part
5. Palakaraip parpam Calx of Cowrie shell 1 part
6. Pl tuttam (White vitreol) Zinc sulphate 1 part
7. Tlakam (Yellow orpiment) Arsenic trisulphide 1 part
8. Kntam (Magnet) Magnetic oxide of iron 1 part
9. Manclai (Red orpiment) Arsenic disulphide 1 part
10. Vppam palac cru (Fruit juice) Azadirachta indica Q.s.
Purification of drugs:
Iracam
Grind it well with brick powder and turmeric powder separately for 24 hours each. Wash it
in water and use.
103
Ilinkam
Soak it in lime juice for 24 hours. Wash it with water and use.
Kantakam
Melt Kantakam in a spoon with butter. Pour into Cows milk. Repeat for a total of 30 times.
Wash in water and dry.
Npi
Cut it into small pieces. Soak it in cows urine for three days. Wash it in water and use.
Note: Daily change the Cows urine.
Tlakam
Keep it inside the lime stone. Pour donkeys urine over the lime stone. After sometime take
out Tlakam, wash and use.
Kntam
Heat it till it becomes red hot. Then dip it in horse gram decoction. Repeat the process for
21 times.
Manclai
Grind it in ginger juice, lime juice and in cows butter milk separately for 3 hours each. Dry it
in sun and use.
Method of Preparation:
Grind drugs 1 to 9 with the addition of item 10 till a fine pill rolling consistency is reached.
Make 130 mg. pills and dry in shade.
Dose and Anupana: 1-2 tab twice daily with honey or water
(15).CANTAMRUTAC CENTRAM
Reference: Citta vaittiyat tirat tu, pp 151
The Siddha Formulary of India, pp 37
Ingredients:
1. Ilinkam (Cinnabar) Red sulphide of Mercury (Natural) 2 parts
2. Pram (Calomel) Hydrargyrum subchloride 1 part
3. Vram (Corrosive sublimate) Mercuric chloride par
4. Kantakam Sulphur part
104
5. Iracac centram Red sulphide of Mercury (Artificial) part
6. Typ pl Mothers milk Q.s
Purification of drugs:
Ilinkam
Soak it in lime juice for 24 hours. Wash it with water and use.
Pram
Suspend calomel on a mixture (10 gm. each of black betel leaf and black pepper made into a
paste and dissolved in 2 lits. of water) and boil till the liquid is reduced to and then wash
and dry.
Vram
Steam the drug with the tender coconut water and camphor mixture for half an hour. Dry in
sun.
Kantakam
Melt Kantakam in a spoon with butter. Pour into Cows milk. Repeat for a total of 30 times.
Wash in water and dry.
Iracac centram
Soak it in lemon juice for a day. Wash and dry.
Method of Preparation:
Powder item 4 and then item 3, mix and grind with item 2, then incorporate item 5 and
lastly item 1. Grind with the addition of item 6, dry and powder.
Dose and Anupana: 100mg twice daily with honey or water
(16). AYAVRAC CENTRAM
Reference: Gun aptam, part II and III, pp 58
The Siddha Formulary of India, pp 37
Ingredients:
1. Ayappodi (Iron powder) Iron filings 35 gm.
2. Iracam (Mercury) Hydrargyrum 35 gm.
3. Vram Mercuric chloride 17.5 gm.
4. Navccram (Salt ammonia) Ammonium chloride 17.5 gm.
105
Purification of drugs:
Iracam
Grind it well with brick powder and turmeric powder separately for 24 hours each. Wash it
in water and use.
Vram
Steam the drug with the tender coconut water and camphor mixture for half an hour. Dry in
sun.
Navccram
Grind it in Goats urine. Dry it and use.
Method of Preparation:
Grind items 1 and 2. Then add to it items 3 and 4 and grind for 3 days when a red product
results. Put this into a new earthen pan and fry till the material attains to color of
murukkamp. Immediately remove from the oven and take the medicine.
Dose and Anupana: 100mg twice daily with honey or water
(17). CANKU PARPAM
Reference: Citta vaittiyat tirattu, pp 123
The Siddha Formulary of India, pp 23
Ingredients:
1. kyat tmarai ilaik karkam (Leaf paste) Pistia stratiotes Q.s
2. tu canku (Conch) Xonchus pyrum Q.s.
Purification of drug:
tu canku
Take equal parts by weight of lime stone and alkaline earth. Add 8 parts of water stir and
keep aside. Take the clear water. Put tu canku into the water, and boil. Wash and dry.
Method of preparation:
Make a paste of item 1, apply on item 2, dry in sun for a day and calcine.
Dose and Anupana: 100-200mg twice daily with honey or water
106
(18). VTA KCARIT TAILAM
Reference: Traiyar taila varkkac curukkam, pp. 48, Stanza No.9
The Siddha Formulary of India, pp 112
Ingredients:
1. Caturakkallic cru (Juice) Euphorbia antiquorum 1.400 lits.
2. Nocci ilaic cru (Leaf juice) Vitex negundo 1.400 lits.
3. Talutalai ilaic cru (Leaf juice) Clerodendrum phlomidis 1.400 lits.
4. Vellttup pl (Milk of the goat) Capra aegagrus L. 1.400 lits.
5. Erukkanpl (Latex) Calotropis gigantea 1.400 lits.
6. Nallenney (Sesame oil) Sesamum indicum 1.400 lits.
7. manaku enney (Castor oil) Ricinus communis 1.400 lits.
8. Katukkyt tl (Fruit rind) Terminalia belerica 2.5 gm.
9. Kttu milaku (Fruit) Piper aurantiacum 2.5 gm.
10. Vellaippntu (Bulb) Allium sativum 2.5 gm.
11. Perunkyam (Oleo-gum-resin) Ferula foetida 2.5 gm.
12. Nellikky kantakam Allotrophic form of sulphur 2.5 gm.
13. Kttam (Root) Saussurea costus 2.5 gm.
14. Cukku (Dried rhizome) Zingiber officinale 2.5 gm.
15. Milaku (Fruit) Piper nigrum 2.5 gm.
16. Tippili (Fruit) Piper longum 2.5 gm.
17. Katuku (Seed) Brassica nigra 2.5 gm.
Purification of drugs:
Nellikky kantakam
Melt kantakam in a spoon with butter. Pour into Cows milk. Repeat for a total of 30
times. Wash in water and dry.
Method of Preparation:
Make a fine paste of items 8 to 17 by grinding with some amount of item 4. Mix it
with the remaining amount of item 4 and also items 1 to 3 and 5 to 7. Boil and make tailam.
Dose: For external Use
107
(19).ILAKU VITAMUT TIT TAILAM
Reference: Traiyar taila varkkac curukkam, pp. 101, Stanza No.79
The Siddha Formulary of India, pp 105
Ingredients:
1. Nallenney (Sesame oil) Sesamum indicum 2.800 lits
2. Et tik kot tai (Seed) Strychnos nux- vomica 88 gm.
3. Velltt up pl (Milk of the goat) Capra aegagrus L. Q.s.
4. Vel laippntu (Bulb) Allium sativum 88 gm.
5. yil pat tait tl (Bark powder) Holoptelea integrifolia 53 gm.
Method of Preparation:
Soak item 2 in item 3 for 12 hours and make shavings. Mix with the other materials
and boil till the solid constituents show a reddening. Filter and take for use.
Dose: For external Use
(19). VTA CURAK KUTINR
Reference: Citta vaittiya tiratt u, pp 290
The Siddha Formulary of India, pp 162
Ingredients:
1. Perunkncori vr (Root) Laportea crenulata 35 gm.
2. Tippili mlam (Root) Piper longum 35 gm.
3. Cittira mlam (Root) Plumbago zeylanica 35 gm.
4. Cankam vr (Root) Azima tetracantha 35 gm.
5. Vellerukkuc camlam(W.plant) Calotrophis gigantea 35 gm.
6. Nilavempuc camlam(W.plant) Andrographis paniculata 35 gm.
7. Murukkan vittu (Seed) Butea monosperma 35 gm.
8. Kalarcci vr (Root) Caesalpinia bonduc 35 gm.
9. Kantankatiric camlam (W. Plant) Solanum surattense 35 gm.
10. Pramutti vr (Root) Pavonia odorata 35 gm.
11. Cittarattai (Rhizome) Alpinia officinarum 35 gm.
12. Mvilinkam vr pattai (Root bark) Crataeva magna 35 gm.
13. Prarattai (Rhizome) Alpinia galanga 35 gm.
14. Cirukncori vr (Root) Tragia involucrata 35 gm.
15. Catakuppai (Fruit) Anethum sowa 35 gm.
16. Visnukarantaic camlam (W.plant) Evolvulus alsinoides 35 gm.
17. Cirutkku (Root) Clerodendrum serratum 35 gm.
108
18. Cukku (Dried rhizome) Zingiber officinale 35 gm.
19. Tippili (Root) Piper longum 35 gm.
20. Cevviyam (Root) Piper nigrum 35 gm.
21. Kottam (Root) Saussurea costus 35 gm.
Method of preparation
Clean the drugs powder coarsely and mix. Divide the mixture into 21 equal parts. For
making decoction, add 340 ml. of water with one part (35 gm.) of the powder and boil down
to one fourth.
Dose : 15 to 30 ml twice daily
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Annexure-7
Report and Recommendations of National workshop on the management of
Chikungunya through Ayurveda and Siddha held on 9
th
& 10
th
March 2007 at
NIMHANS, Bangalore.
OBJECTIVES
The principle objective of the workshop was to make a platform for the Ayurvedic / Siddha
physicians with Modern scientists to discuss and formulate a National strategies, protocols
and therapies for Chikungunya, which would be highly useful for the provision of Health
care facilities and Research strategies for future endeavors. Moreover, the workshop could
also provide an opportunity to the participants to exchange their academic knowledge and
clinical experiences.
A total number of 175 registered delegates, which includes 35 Resource persons, 30 P.G.
Scholars and 115 participants from Ayurveda, Siddha and Modern medical sciences were
attended the workshop. Among them 20 delegates were from Kerala, 25 delegates from
Andhra Pradesh, 20 participants from Tamilnadu and 115 delegates from Karnataka
including Regional Research Institute & Advanced Research Unit Technical staff.
EVENTS:
DAY 1
The Programme was started with invocation followed by lightening of lamp. Key note
address & welcome speech has been given by Dr. K. Gopakumar, Organizing Secretary and
Asstt. Director Incharge of R.R.I (Ay.), Bangalore. The workshop was inaugurated by Dr. D.
Nagaraja, Director & Vice Chancellor, NIMHANS, Bangalore and presided by Dr. P. S
Prabhakaran, Vice Chancellor, Rajeev Gandhi University of Health Sciences, Bangalore. In
their speech, they have expressed that, though Indian system of medicine has become very
popular in the Western world, there is an immense scope in Ayurvedic & Siddha systems
Research field. They have mentioned that, the major draw back of traditional system of
medicine is, since it is centuries old system and the classical methodologies are being
followed with no new innovations or variations are being incorporated so far. Hence, these
systems are lacking the modern medical disciplines status. Moreover, in Ayurveda and
Siddha there is no proper Standard/ uniform methodologies, Standardized treatment
procedures and drugs.
They have also expressed that, there is no proper treatment for Chikungunya in Modern
medicine and also pointed out the abuse of Antibiotics, the most serious mistake that man
can commits.
Dr. A. Narayana, Deputy Director (Tech), CCRAS, Dr. G. Veluchamy, Director, CRI (S),
Chennai have emphasized, in general, about making well coordinated technical platform for
formulating effective Ayurvedic and Siddha therapies, after thorough and systematic,
110
globally accepted protocols and evaluation schemes, so that we can formulate a National
strategy for prevention and cure of epidemic disease like Chikungunya.
Dr.D.Sudhakar, A.D (Ay.), A.R.U, Bangalore expressed vote of thanks.
TECHNICAL SESSIONS:
During Day 1, after the inaugural function, a total number of 5 sessions were conducted. In
the 1
st
session, the experts, Dr. V Ravi, Prof. & Head, Dept. of Neurovirology, NIMHANS,
Bangalore, Dr. M. B Maiya, Retd. Principal, Bangalore Medical College & Director, Maiya
Multispeciality Hospital, Bangalore, Vaidya Samba Murthy Gayatri, Chief Physician,
Ayurveda Academy, Bangalore and Dr.G. Veluchamy, Director, CRI (S), Chennai have
presented scientific papers on Chikungunya. Their papers were on the topics of Virology &
Laboratory Diagnosis, Chikungunya clinical features & Management, An insight on current
trends in the diagnosis and management of Chikungunya: An Ayurvedic view and an insight
on current trends in the diagnosis and management of Chikungunya : Siddha view
respectively.
This Session was chaired by Dr. J. R. Krishna Murthy, the eminent Siddha Physician
and Ex. S.A.C. Chairman (Siddha), CCRAS, New Delhi and Co-Chaired by Dr. Rangesh
Paramesh, Director, R& D, Himalaya Drugs, Bangalore.
Prof. Dr. V. Ravi, has given a vivid picture about the classification, structure, natural cycle
and replication of CHIK virus and its vectors, Pylogenetic & Molecular epidemiological
features of Chikungunya.
Dr. M.B Maiya, has explained epidemiology, clinical picture, differential diagnosis with
Dengue Fever, management, prevention and future strategies of Chikungunya.
Vaidya Sambha Murthy Gayatri emphasized on Ayurvedic description in understanding its
pathogenesis, treatment principles of Abhisangaja Jwara, and clinical plan of Ayurvedic
treatment. During the out break of Chikungunya, the Ayurvedic Academy conducted several
Health camps in affected rural areas of Karnataka under his able guidance and treated more
than 3, 500 (Three thousands five hundred) patients. He expressed that the line of
treatment of Abhisangaja, Agantuja Jwara has been given significant curative results. The
following drugs were used effectively in the management of Chikungunya.
* Amrutha sanjeevani syrup
* Guduchi ghritha
* Shadanga paneeya
* Musta parpataka Kashaya
* Sanjeevani vati in guduchi kashaya.
Dr. G. Veluchamy in his deliberation, he gave a vivid picture about the classification of
disease as per Siddha system of medicine based on symptoms, vitiation of humors, and line
of treatment. The Siddha drugs Viz. Thrithosa mathirai, Bramanatha bairavam and
Vasanthkusmakarajam mathirai, Vishnuchakara mathirai, Vatha Rakshasam mathirai,
Kutineer, Vathasura Kutineer etc. could be used successfully in the management of Chikun
guniya according to his experiences.
111
In the 2
nd
technical session, 5 Ayurvedic experts who were from Karnataka, Kerala and
Andhra Pradesh presented their clinical experiences on management of Chikungunya. Dr. S.
Sarangapani, Asstt. Professor, Dept.of Shalya, Government Ayurvedic College, Hyderabad
chaired the session and Co Chaired by Dr. S. Gopakumar, Lecturer, Government Ayurveda
College, Kannur, Kerala.
Dr. Prasanna Rao, Principal, SDM College of Ayurveda, Hassan has explained the Ayurvedic
approaches towards Chikungunya includes Ayurvedic purview, mode of treatment etc. He
had carried out clinical study at well-known SDM Hospital during and after the outbreak of
Chikungunya. The used trial drugs were classified in two groups. In first group Simhanada
guggulu, Tribhuvana keerthi rasa, Rasna Eranda kashaya, Vishagarbha taila and Dashanga
lepa, where as in second group, Amruthadi guggulu, Maharasnadi kashaya, Kottam chukkadi
taila and jatamayadi lepa with Marmani vati were used. He concluded that the above said
drugs were effective in relieving symptoms of Chikungunya. He also emphasized the
principles of Jwara in acute stages and Vathashonitha chikitsa and its treatment in chronic
stage of Chikungunya.
Dr. B.S Sridhar, Prof. & Head Dept. of P.G Studies in Panchakarma, GAMC, Bangalore
presented a paper on his clinical experiences, on the management of Chikungunya. In his
presentation, the Ayurvedic drugs were used according to the stage of the disease. In acute
stage Samshamani vati, Rasna Eranda kwatha and in post Chikungunya stage,
Sadyovirechana with Nimba Amruthadi along with castor oil followed by Amruthadi guggulu,
Rasna Eranda kwatha, Kumari Haridra lepa were used. In chronic stage, Snehapana with
Guggulu Tiktaka ghritha, Virechana with Nimba Amruthadi castor oil, Ghrithaksheeravasthi
for 16 days, Amruthadi guggulu, Rasna Eranda kwatha, Jatamayadi lepa and Rasayana
treatment with Yogaraja guggulu lehya, Guduchi Tablet, Ashwagandha, Bala, Yashtimadhu
Ksheerapaka were prescribed and found effective.
Dr. Prashanth A. S., Asstt. Professor, Dept. of Kayachikitsa, Ayurveda Mahavidyalaya, Hubli
has highlighted the description of life cycle and role of Mashaka (Mosquito),
Janapadodhwamsa vikara and Agantuja Jwara and their types in Ayurveda. The treatment of
Chikungunya was based on the principles of Sannipata jwara, Vishama jwara and Samavatha
in Ayurveda. The mode of action of the drugs was selected based on their properties such as
Jwaraghna, Vedanaasthapana & Sothaghna etc. The preventive medication through use of
Sanjeevani vati with cumin seeds and tulasi boiled in water were found much effective. The
Chikungunya effected areas were fumigated with drugs having the properties like
Krimighna, Dhupana yogas. Total 465 cases were treated at Ayurveda College Hospital, Hubli
during June to September 2006. All the patients were treated according to the clinical
conditions with following drugs.
1. Sudarshana churna
2. Agnitundi vati
3. Vatagajankusha ras
4. Punarnava guggulu
5. Mukka mukkadukadi gutika
6. Hinguleshwara ras
112
In post Chikungunya, in which rheumatic problems were predominant, Amrutharishtha
Sanjeevani vati and Pinda tailam for local application were found much effective.
Dr.P.S.Chandran, Sr. Medical Officer, Government Ayurvedic Hospital, Cherthala, Distt.
Alleppy, Kerala has presented a paper on the basis of his experience during the recent out
break of Chikungunya and treatment measures adopted through medical camps. The
curative strategy was made as per the following criteria.
1).Controlling of fever and its associated systems.
2). Controlling of post fever arthritis.
3). Prevention of disease as a whole.
During the health camps, the formulations such as Amrutaristam, Vettumaran
gutika, Sudarshan tablet, Bilvadi gutika, Dhanvantaram gutika, Talispatradi churnam, Vilwadi
lehyam, Punarnavasavam, etc. were prescribed for controlling fever and associated
symptoms.
In Post fever arthritis in Vata predominance condition,
1. Dasamula kashayam
2. Indukantha kashayam
3. Balapunarnavadi kashayam
4. Yogaraja guggalu
5. Karpuradi taila for external use were used by the Ayurvedic physicians in health camps.
In Pitta predominance condition
1. Guluchyadi Kashaya
2. Punarnavadi kashaya
3. Amruta Guggulu
4. Chandra Prabha vati
5. Jatamayadi lepa
and in Kapha predominance condition
1. Amrutottaram kashayam
2. Guggalu tiktaka kashayam
3. Rasna Saptaka kashayam
4. Gokshuradi Guggulu
5. Nagaradi Churnam for local application were also found equally effective.
The preventive measures to increase the immunity by administration of Sudarshana tablet
control of mosquitoes with mosquito repulsion using Aparajitha dhoopam and killing of
larvae with mixture of tobacco leaves, neem oil, soap powder etc. sprinkled in cesspools.
Dr. M. Srinivasulu, Professor, Dept. of Basic principles, Anantha Laxmi Government
Ayurvedic college, Warangal (A.P) has expressed his views about clinical diagnosis according
113
to the principles of Ayurveda and he considered that Amavata symtomatology is quiet
similar with Chikungunya. Hence, he has applied the same chikitsa principles on
Chikungunya effected patients and observed better results. In acute fever condition
Mrityunjaya ras 250mg, Godanthi mishran 2 tab tds, and after fever subsides, Amavatari ras
250mg, Lasunadi vati 2tab tds, Gandharvahastadi kashaya 30-40ml tds were used. In chronic
cases, Simhanada guggulu 2 tab BD, with powdered mixture of Lasuna, Nirgundi, Suranjana,
Shallaki & Vatagajankusha rasa were also given in dosage of 500 mg in addition to
Gandharvahastadi quatha 30 - 40 ml TDS. He also expressed his observation about use of
Simsapa (Dalbergia sisso Roxb.) 3 4 leaves powder twice a day found highly effective in
tribal & rural areas of Khammam district, A P. which further required scientific evaluation
and thorough standardization.
The 3rd technical session was chaired by Dr. P. H. C. Murthy, Professor, Dept. of P. G.
Studies in Rasasastra, Government Ayurveda College, Vijayawada (A.P) and Co-chaired by
Dr. Anandan R.O (Siddha), CRI (S), Chennai. In this session two speakers from Siddha system
of medicine presented their views and experiences. G. Ganapathy, a siddha expert from
Chennai has explained the choice of drugs in Siddha medicine in the management of
Chikugunya as
Vasanta kushumakar mathirai, Amukkara churnam, Nilavembu kudineer, Shivappu kukkil
tailam for external application etc.
Apart from these, he also narrated the need of preventive measures of Chikungunya with
and active mosquito breeding control measures.
The next speaker Dr. J. R. Krishnamurthy a senior Siddha physician has shared his clinical
experiences that Chikungunya is more or less similar to the features of Valisuram, as
described in Yoogi Chintamani an important Siddha text. During and post chikungunya
epidemic, two different drugs for internal & external use were advised.
In first group: 1). Nilavembu (Andrographis paniculata) a single herbal decoction was used in
control of the bouts of pyrexia and chills.
2). Vishnu chakkara mathirai, a compound mineral preparation was also used to arrest the
progressive viral infection.
3). Surface application with oil water emulsion of Thazhuthazai (Clerodendron phlomoides),
Katrazhai (Aloevera), camphor and guggulu over the painful joints followed by local hot
water fomentation etc was found effective in the management in Chikungunya during his
vast experience.
The 4th technical session was chaired by Dr. B. Sudhi kumar, Reader, Government
Ayurveda College, Tripunithura, Kerala and co-chaired by Dr. A. K. Manoj Kumar, Reader, V.
S. P. S. Ayurveda College, Kottakkal. There were three speakers from Ayurveda and one
from Siddha system of medicine.
Dr. Lalita B. R. Asstt. Professor, Government Ayurvedic College, Bangalore explained
Ayurvedic perspective of Chikungunya and compared with symptoms Sannipataja Vishama
Jwara. The following prophylactic measures were narrated.
114
1. Snartha Jala with Nirgundi patra, Dattura patra
2. Dhupana with Aranya tulasi patra, Nimba taila, Drona pushpi, Dhattur patra and Sapta
cchada.
3. Astanga dhoopa with gritha as a jwaranasaka.
4. Abhanga with Tikta gritha
5. Udvartana with Vacha Haritaki churna
Use of mosquito repellents such as Tulasi herbal liquid, Tulasi mosquito candles, Cow dung
with tulasi for fumigation also were discussed. These current methods were reported to be
much effective.
Dr. M. L. Naidu elaborately discussed about Janapadodvansa (Epidemics in Ayurveda ) and
its treatment approaches for controlling epidemics in general. As per his version,
Bhutabhishangaja jwara, Sandhigata sannipata jwara and Agantuja vishama jwara treatment
principles can be well adopted in the effective management of Chikungunya. Some effective
Ayurvedic formulations viz.,
1. Kiratakadi kashayam
2. Sanjeevani vati
3. Amritastaka kashayam
4. Maharasnadi kashayam
5. Ayush-64
6. Shadanga paneeyam
7. Maha sudarshana churnam
8. Godanthi bhasma
9. Pravala pishti
10. Guduchi satwa
11.Maha yogaraja guggulu
12. Kaishore guggulu
13.Simhanada guggulu
14.Santapanashaka vati etc. according to the stage and severity of the illness were also
suggested by him.
Dr. G. Vinod kumar, Prof. & Head, Dept. of Panchakarma, Government Ayurvedic College,
Trivandrum has presented a paper on possible treatment approaches for control of
epidemic diseases w.r.t. Chikungunya and explained Janapadodhwansa in Ayurveda
caused by pollution of Vayu, Jala, Desha, Kala, which are mainly caused by unrighteous way
of leading life. He presented the details of the mosquito repellent drugs and lotion for
controlling mosquitoes & Larvae. The lotions have been formulated prepared and tested by
Government Ayurvedic college, Trivandrum. These preparations have been used extensively
in Chikungunya affected areas in Kerala. Dr. Vinod kumar has explained the preventive
measures and treatment methods elaborately.
The 4
th
Speaker was from Siddha medicine, Dr. V. M. Ravichandran, Medical Officer, SKM
Health & Mind Welfare Charity Trust, Erode (T.N.) narrated some of his study observations
115
in the management of Chikungunya. A total of 165 cases were studied with selective Siddha
drugs such as Nilavembu Kudineer churnam - 5 g decoction BD, Chandamarutha chanduram
- 50mg OD with honey, Brahmananda bhairavam tab 1BD with water for 10 days. The
assessment was made based on clinical features like Fever, Joint pains, Rashes, etc. He said
that, the out come positive result was 77% of the subjects with marked improvement.
The 5
th
Technical session was on Expert group meet for finalization of selected Ayurvedic
and Siddha drugs in the management of Chikungunya. This session was moderated by
Dr.G.Veluchamy, Director, CRI(S), Chennai and Dr. S. Gopakumar, Lecturer, Government
Ayurvada College, Kannur (Kerala). The Ayurvedic experts chaired the session were 1). Dr. G.
Vinod kumar, Prof. & Head, Dept. of Panchakarma, Government Ayurvedic College,
Trivandrum, 2). Dr. N. Jaya, Asstt. Director Incharge, CRI (Ay) , Cheruthuruthy 3).Dr. B. Sudhi
kumar, Reader, Government Ayurveda College, Tripunithura, Kerala and among Siddha
experts 4). Dr. Thyagarajan, Associate Professor, National Institute for Siddha, Chennai and
5). Dr. Kanagarajan, R.O (S), CRU (S), Palayamkottai.
An Ayurvedic physician from the participants asked about how Bilvadi gutika, which is an
Agada drug, can it be indicated in Chikungunya? Dr.Gopakumar answered that, Bilvadi
gutika is dushivishara in action and in Bhutabhishanga as well as in acute & infectious
diseases and it must be useful. Dr. N. Jaya has recommended a compound formulation
Swasthya Rakshaka amrita peya, which contains Tulasi, Shunti, Nirgundi, Kiratatikta and
Musta in the form of Kashaya (which was used by Gujarath state Ayurvedic department
during the recent outbreak of Chikungunya) effectively. She presented and suggested the
following compound formulations, which were distributed at Lakshadweep islands during
the recent attack of Chikungunya as per the symptoms given below.
1). Jwara: Amritothara kwatha, Indukantha kwatha, Vettumaran gutika, Sudarshana gutika.
2). Sandhisula: Rasna Saptaka kwatha, Punarnavadi kwatha, Vettumaram gutika, Jatamayadi
lepa.
3). Visarpa: Guduchyadi kwatha, Bilvadi gutika, Haridrakhanda, Avipattikara churna.
4). Kasa / Swasa : Indukantha kwatha, Vettumaran gutika, Haridrakhanda.
5). Sirasula : Indukantha kwatha, Amritothara kwatha, Sudarhana gutika.
Dr. Sudhikumar suggested treatments like Amapachana, Jwarahara, Vedanasthapana drugs
for the epidemic control. According to his treatment experience, Shadanga thoya,
Amritothara kashaya, Bilvadi gutika, etc. could be given in Jwara. Rasna Saptaka kwatha,
Rasna panchaka kwatha, Lasuna eranda kwatha to cure joint pains and Jata mayadi lepa,
Kottam chukadi tailam as external application for effective treatment.
Dr. Ravi Chandran, a Siddha expert has suggested Vishnuchakram mathirai, Nilavembu
kudineer, Vathajwara kudineer as a complete remedy for Chikungunya.
Dr. Vinod Kumar recommended some single herbal drugs and few formulations such as
Bhunimba, Guduchi, Katuki, Amrutarishta, Bilvadi gutika and to improve the immunity
Indukantha kashaya & ghritha (in latter stage) for complete cure.
116
Dr.Thyagarajan had suggested that, the Siddha drugs like Brahmananda Bairavaras,
Nilavembu kudineer could be prescribed as an Antiviral drugs and external application with
Vatha Kesari tailam for better results.
Dr. Veluchamy, Moderator of the session emphasized on use of some Siddha remedies viz.
Amukkara churna which act as an Anti inflammatory and Immunomodulatory agent in
general and for fever Nilavembu kudineer, Vatajwar kudineer & Taleesadi churna through
Siddha treatment in the management of Chikungunya.
DAY 2 (10/03/2007)
Technical session VI was mainly focussed on Interactions with participants and P. G.
Scholors which was anchored cum moderated by Dr. G. Srinivasa Acharya, Prof. & Head,
Dept. of Kayachikitsa, SDM College of Ayurveda, Udupi and assisted by Dr. Anandan,
Research Officer (S), CRI (S), Chennai.
The following subject experts from Modern, Ayurveda and Siddha systems chaired the
session.
1). Dr. C. Nagaraj, Reasearch officer, Dept. of Epidemiology, Ministry of H & F W,
Government of India, Koramangala, Bangalore, 2). Dr. B. G. Gopinath, Principal, Sri Sri
Ayurveda College, Bangalore 3). Dr. Padmanabha Rao, Ayurvedic Physician, Bangalore. 4).
Dr. K. S. Jayasree, Prof. & Head, Government Ayurvedic Medical College, Bangalore. 5). Dr.
Srikanth Babu, Reader, A. L. Government Ayurvedic College, Warangal, (A. P.) 6). Dr. S. Rami
Reddy, C.G.H.S Dispensary, Hyderabad, 7). Dr. P. K. Sudarshan Nair, R O (Ay), CRI,
Cheruthuruthy, Kerala and 8). Dr. Palanichamy, Siddha expert, Chennai.
In this session, one of the participants had asked about the swabhavoparama of
Chikungunya and Dr. B. G. Gopinath replied that, it was a mrudu vyadi, the term swabhavo
parama vyadi could be used for Chikungunya. Another P. G. Scholar from Hyderabad asked
to Dr.C. Nagaraja that had he noted the vertical transmission of Chikungunya. Then Dr.
Nagaraja explained that Transplacental transmission of this disease was not recorded and
Breast milk transmission also not noted. However, there might be possibility of transmission
of the disease. Children and mother together can equally suffer from Chikungunya due to
mosquito bite. P. G. Scholar from Kerala questioned that why Chikungunya affects joints
only? Dr. Nagaraja narrated that Chick virus enter the body and attributes the antibodies
formation. These immune complexes are situated in cartilaginous part of joints. Hence it
manifests mainly at joints. One Ayurvedic expert from the audience had asked that how can
Chikungunya be classified as Janapadadvansa vyadi? Then, Dr. S. Acharya answered that
Adharma is said to be the main reason. In epidemic of Chikungunya, the failure of
beurocracy or city administration resulting in to lack of cleanliness, impaired sewage
disposal, etc. would be nothing but Adharma only. Another P. G. scholar from Hyderabad
raised a question if the pregnant women suffer from Chikungunya, what is the line of
treatment and whether Rasaoushadis can be given in first trimester? Dr. Jayashree
explained that Garbha pala rasa like metallic preparations are being used safely since
decades in pregnancy. Hence, rasa preapartions can be definitely used for short period in
first trimester of pregnancy. Combination of Aswagandha, Satavari and Shadanga paniya
with jaggary are recommended especially in pregnant Chikungunya cases. An Ayurvedic
117
physician asked that why Chikungunya does not effect infants and children? Dr. Nagaraja
answered that both are getting affected by Chikungunya. Other question raised by a P. G.
scholar was about the role of Tikta rasa on virus? Dr. Rami Reddy answered that, definitely
Tikta rasa has a vital role and it acts as antiviral agent. As evidenced from example of
Nimba, Kiratatikta, Sudarshan churnam (Ref. Sannipata jware purvam kaphapaham).
Dr. Jayashree added that, these drugs has also got Immuno modulator actions. Dr. S.
Gopakumar concluded that, Tikta rasa is pitta shamaka & Jwara hara because jwara is
classified as pitta dosa pradhana vyadhi.
Technical session-VII
The core theme of this session was Finalization of Research Strategies on Chikungunya.
Dr. N. Srikanth, Asstt. Director (Ay), Dr. A. Narayana, Deputy Director (Tech.), CCRAS were
the moderators and the following resource persons from Ayurveda, Siddha and Modern
medical fraternity chaired the session.
Dr. C. Nagaraj, Reasearch officer, Dept. of Epidemiology, Ministry of H & F W, Government
of India, Koramangala, Bangalore,
Dr. B. G Gopinath, Principal, Sri Sri Ayurveda college, Kanakapura Road, Bangalore.
Dr. K. V. S. Prabhakaran, Additional Director, Dept. of AYUSH, Tilak Road, Abids, Hyderabad.
Dr. Philip Anand, Reader & HOD, Government Ayurveda College, Hyderabad
Dr. V. R. Sheshadri, Secretary & CEO, IMPCOPS, Thiruvamiyur, Adayar, Chennai,.
Dr. M. Parankusha Rao, S. V. Ayurveda College, SVIMS Campus, Tirupati (A.P).
Dr.G. Veluchamy, Director, CRI(S), Chennai.
Dr. Thyagarajan, Associate Professor, National Institute of Siddha, Chennai.
Dr. Nagaraj explained the role of Alphavirus in infection, host parasite interactions transient
viremia and dissemination. The different serological tests particularly neutralization assay,
was elaborated in detail. He also explained about host defenses, role of antibiotics, T-cell
response, etc. The urban epidemics in particular with its epidemiology were narrated along
with tips for diagnosis such as presence of IgM antibody or rise in IgG antibody etc. Different
types of viruses their possible role and geographic distribution were explained through map
and tabular representation. The speech was concluded with molecular aspects of viral
genomic RNA.
Dr. B. G. Gopinath has emphasized on fundamental principles of methodology, mode of
action and assessment of therapeutic effects of herbal formulation. A drug oriented
approach by establishing hypothetical basis in Pharmacodynamic action of drugs by arriving
logical conclusion was felt necessary. He also pointed out that to achieve safe and effective
dosages, scientific validation of suggested drugs for their principle-based attribution is
highly essential.
118
Dr. K. V. S. Prabhakaran has explained the systematic medical treatment associated with
symptom-oriented approach in his speech. He gave the example of Jwarhara kashaya - the
poly herbal formulation which is generally prepared by using is Kiratatikta, Musta, Parpataka
and Guduchi in equal quantity found effective in antiviral activity along with Mrityunjaya
rasa and Kanchanara guggulu. He also reminded that the post sequel treatment for
Chikungunya could be done by prescribing specially formulated Chintamani capsules.
Dr. Philip Anand explained the symptoms of Chikungunya in Ayurvedic parlance and their
systematic & individually isolated treatments by following classical approach. He also
emphasized for use of single herbal drugs which possess Antiviral, Antipyretic and Analgesic
action such as Guduchi, Bhoonimba, Yashtimadhu, Bilva, Haridra etc. in the management of
chikungunya.
Dr. V. R. Sheshadri insisted on determination of each patients constitution and prescription
of internal medicines and simultaneous external application depending upon the symptoms
and severity accordingly. He has suggested some formulations viz. Nimbadi kwatha,
panchatikta kwatha, Ashwagandha churna etc. for internal administration and Pindataila,
mixed with Karpoor tailam (in equal quantity) was found very effective local application in
the management of Chikungunya
Dr. M. Parankusha Rao has explained the nidana, samprapti & lakshana of disease on
concepts based on classical strategies such as janapadodhwansa - Ojakshaya & its causative
factors. He also described the management of Ojakshaya through Rasayana drugs such as
Yashtimadhu, Tulasi, Punarnava, Guduchi, Sunthi, Daruharidra, Amalaki & Haritaki .
Dr. G. Veluchamy has given a vivid picture about the classification of disease described in
Siddha system of medicine along with drugs such as Thrithosa mathirai, Bramanatha
bairavam and Vasanthkusumakaram mathirai, Vishnuchakara maharani, Vatha Rakshasam
mathirai, Kutineer, Vathasura Kutineer which are to be used in the management of
Chikungunya. However, he suggested the need of scientific evaluation of the said drugs with
proper Standardization to incorporate the same in the National health Programs and to use
them during and post epidemic diseased conditions safely and effectively.
Dr. Thyagarajan has prescribed some Siddha drugs like Brahmananda Bairavaras, Nilavembu
kudineer as an Antiviral drug and external application with Vatha Kesari tailam for successful
treatment.
Dr. N. Srikanth explained a comparative account of current status of management and need
for further Research. He also pointed out that recently developed chemotherapeutic agents,
which proved their effectiveness to certain extent, but no potent vaccine was available
against this viral infection. Therefore, basic knowledge of Ayurveda & Siddha could be well
utilized for proper treatment and accordingly Research strategies for needy patients can be
further used and explored. He also depicted the modified research guidelines and
methodologies for drug development in ASU / TSM /CAM. The evidence based clinical
Research strategies like new drug development, screening with reference to
Pharmacological actions, modification of drug & dosage, new indication or new drugs,
reverse Pharmacology and unique screening methods, recognition of general immune
119
response & its reconstitution under prophylaxis which are inevitable in any drug research
also discussed in his talk.
Two days National workshop on the management of Chikungunya through Ayurveda and
Siddha ended with the entire participants deep appreciation to the organizers and with the
profound vote of thanks by the Organising Secretary followed by National Anthem.
CONCLUSION
Since the National workshop on the management of Chikungunya through Ayurveda and
Siddha was confined only to the delegates haling from southern parts of India like Andhra
Pradesh, Karnataka, Kerala and Tamil Nadu; a core committee for development of research
strategies was felt highly necessary. More over most of the delegates were claiming their
own specific methods and medicines in the concluding session. Therefore no concrete
solution could be reached for successful management of Chikungunya.
It was unanimously opined that a core committee consisting of necessary disciplines should
be formulated and few more sittings/ discussions through consortium is felt highly
necessary.
120
NATIONAL SEMINAR ON MANAGEMENT OF CHKUNGUNYA THROUGH
AYURVEDA AND SIDDHA
9, 10 March 2006,NIMHANS, Bangalore
PROGRAM SCHEDULE
DAY-1 9 March 2007
Sessions Time Speaker
Technical session-I
An insight on current trends in
the diagnosis and management
of Chikungunya
11.15 AM to 11.45 AM Dr. Ravi, Prof. & HOD,
Dept. of Neuro Virology, NIMHANS
Bangalore
11.45 AM to 12.15 AM
Dr. Sambhavamurthy,
Ayurveda Academy, Bangalore
12.15 PM to 12.45 PM
Dr. Veluchamy, Director,
CRI (Siddha) Chennai,
Tamil Nadu
Technical session-II 12.45 PM to 1.35 PM
Clinical experiences on
management of Chikungunya
Ayurveda
(Each 10 minutes)
Dr. Prasanna Rao
Principal,
S D M College of Ayurveda, Hassan,
Karnataka
Dr. B. S. Sridhar,
Sr. Lecturer, Government Ayurvedic
Medical College,
Bangalore, Karnataka
Dr. A. S. Prasanth,
Astt. Professor,
Dept. of Kaya Chikitsa,
Ayuredic College,
Hubli, Karnataka
Dr. P. S. Chandran,
Sr. Medical Officer,
Government Ayurvedic Hospital,
Cherthala,
Alleppy, Kerala
Dr. M. Sreenivasulu,
Prof. Dept. of Basic principles,
A.L.Government Ayurvedic College,
Warangal, (A.P.)
Lunch 1.35 PM to 2.00 PM
121
Technical session-III 2.00 PM o 2.30 PM
Clinical experiences on
management of Chikungunya
Siddha
(Each 10 minutes)
Prof. P. Jayaprakash Narayan, Rtd.
Vice Principal,
Government Siddha College,
Arumbakkam, Chennai, (T.N.)
Prof. G. Ganapathi,
No. 175/8, TNHB,
Chennai Flat, Annanagar West,
Chennai, (T.N.)
Dr. J. R. Krishna Murthy,
No.11 Perumal Street,
Dharma Koil Street,
Kunathur, Chennai, (T.N.)
Technical session-IV 2.30 PM to 3.45 PM
Possible treatment approaches
for control of epidemics with
special focus on Chikungunya
Alloapathy
Dr. Mahabaleshwara Maiya,
Rtd. Principal,
Bangalore Medical College,
Bangalore
Dr. K. S. Jayashree,
HOD, Dept. of Dravyaguna,
Government Ayurveda Medical
College, Bangalore
Dr. M. L. Naidu,
Reader,
Dept. of Kayachikitsa,
Dr. B.R.K.R. Government Ayurvedic
College, Hyderabad (A.P.)
Dr. Vinod Kumar,
H O D (Panchakarma),
Government Ayurveda College,
Thiruvanthapuram, Kerala
Dr. Ranganathan,
District Siddha Medical Officer,
Government Dist. Hqrs Hospital,
Dharmapuri, Chennai, (T.N.)
Dr. Siva Kumar,
SKM Health & Mind Welfare
Charity, Chennimalai Road,
Erode, (T.N.).
122
Tea Break 3.45 PM to 5.30 PM
Technical session-V 4.00 PM to 5.30 PM
Expert group meet for
finalization of selected
Ayurveda/Siddha drugs for
control/management of
Chikungunya
Ayurveda
Dr. Nanjappa,
Deputy Director (Ayurveda),
Government Central Pharmacy,
Jayanagar, Bangalore
Dr. M. Parankusha Rao,
S. V. Ayurvedic College,
SVIMS Campus,
Tirupathi, (A.P.)
Dr. N. Jaya,
Asst. Director In charge,
C. R. I. (Ay), Cheruthuruthy,
Kerala
Siddha
Dr. Sudhi Kumar,
Reader
Government Ayurveda College,
Thripunithura,
Ernakulam, Kerala
Dr. Jayaprakash Narayan,
Retd. Vice Principal,
Government Siddha College,
Arumbakkam, Chennai, (T.N.)
Dr. Thyagarajan, Associate
Professor, National Instiute of
Siddha, Chennai (T.N.)
DAY-2 10
th
March 2007
Technical session-VII 10.00 AM to 11.30 AM
Interaction with participants and
Post Graduate Research
Scholars
Allopathy Dr. C. Nagaraj,
Research Officer,
Dept. of Epidemiology,
Ministry of H & F W, Government of
India, Koramangala,
Bangalore, Karnataka
Dr. B. G. Gopinath,
Principal,
Sri Sri Ayurveda College,
Kanakpura Road,
Bangalore, Karnataka
123
Ayurveda
Dr. Padmanabha Rao,
Ayurvedic Physician,
Bangalore, Karnataka
Dr. Rangesh Paramesh,
Ayurvedic Consultant,
Himalaya Drug Company,
Bangalore, Karnataka.
Dr. S. Rami Reddy,
C.G.H.S Dispensary,
Humayun Nagar, Mehadi Patnam,
Hyderabad,
Andhra Pradesh
Dr. P. K. Sudarshan Nair,
RO (Ay.),
CRI (Ay), Cheruthuruthy, Kerala
Dr. Satya Prasad,
Medical Officer,
Government Ayurveda Hospital,
Cherthala,
Alleppy-Kerala
Siddha Principal,
Government Siddha Medical
College,
Arumbakkam,
Chennai, Tamil Nadu
Dr. Palanichamy,
No 250/2, HIG Flats,
Pioneer Colony, Annanagar,
Chennai, Tamil Nadu
Tea Break 11.30 AM to 11.45 PM
Technical session-VIII 11.45 AM to 1.30 PM
Modern
Dr. C. Nagaraj,
Research Officer,
Dept. of Epidemiology,
Min. of H & F W,
Government of India,
Koramangala, Bangalore, Karnataka
124
Finalization of Research
strategies on Chikungunya
Ayurveda
Dr. B. G. Gopinath,
Principal, Sri Sri Ayurveda College,
Kanakapura Road,
Bangalore, Karnataka
Dr. K. V. S. Prabhakaran,
Additional Director,
Dept. of AYUSH, Tilak Road, Abids,
Hyderabad, Andhra Pradesh
Dr. Vinod Kumar,
H O D (Panchakarma),
Government Ayurveda College,
MG Road, Trivendrum, Kerala
Dr. V. R. Sheshadri,
Secretary & CEO, IMPCOPS,
Thiruvamiyur, Adayar, Chennai,
Tamil Nadu
Dr. M. Parankusha Rao,
S. V. Ayurveda College,
SVIMS Campus,
Tirupati, Andhra Pradesh
Dr. N. Srikanth,
Asstt. Director (Ay.),
CCRAS, New Delhi
Dr. A. Narayana,
Deputy Director (Tech),
CCRAS, New Delhi
Siddha
Dr.G.Veluchamy,
Director, CRI(Siddha), Arignar
Anna Hospital of Indian Medicine,
Arumbakkam,
Chennai, Tamil Nadu
Dr. Thyagarajan,
Associate Professor,
National Instiutte of Siddha,
Chennai, Tamil Nadu
Dr. J R Krishna Murthy,
No. 11 Dharma Koil Street,
Kunathur, Chennai, Tamil Nadu
Lunch 1.30 PM to 2.00 PM
Valedictory Session 2.00 PM to 2.30 PM
NATIONAL ANTHEM
125
ANNEXURE-8
Organizations working on Chikungunya
1. National Institute of Communicable disease (NICD),
New Delhi, India
www.nicd.org
2. World Health Organization (WHO). www.who.int/csr
3. National institute of Virology, Pune, India. www.icmr.nic.in/niv.htm
4. European Centre for Disease Prevention and Control,
Stockholm, Sweden.
www.ecdc.eu.int
5. Health Protection Agency, London. www.hpa.org.uk
6. National Institute of Virology, South Africa. www.niv.ac.za
7. U.S. Army Medical Research Institute of
Infectious Diseases, Fort Detrick, Maryland.
www.usamriid.army.mil
8. International Federation of Red Cross and
Red Crescent Societies
www.ifrc.org
9. Centre for disease contol and
prevention (CDC), Atlanta.
www.cdc.gov
10. Institut de Vielle Sanitaire, France. www.invs.sante.fr
126
REFERENCES
127
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